Amifostine

Introduction To Amifostine

Amifostine is used to prevent dryness in the mouth after radiotherapy of head and neck cancer. It reduces the harmful effect of chemotherapy on the kidneys during treatment with cisplatin (medicines used to treat cancer).

Amifostine is given as an injection into vein (IV infusion) under the supervision of doctor. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to.

Nausea, vomiting, decreased blood pressure, sleepiness, dizziness, and flushing are some common side effects of this medicine. Consult with your doctor if it does not go away or bothers you. It is advised to stay hydrated before taking this medicine. You will be check for blood pressure before infusion and every 5 minutes during infusion.

Before taking it, tell your doctor if you have heart diseases such as irregular heartbeat and heart failure, or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your healthcare team know all medications you are using.

Uses of Amifostine

  • Treatment of Dryness in the mouth after radiotherapy of head and neck cancer

Benefits of Amifostine

Treatment of Dryness in the mouth after radiotherapy of head and neck cancer
Amifostine is used to decrease dryness in the mouth caused by radiation treatment after surgery for head and neck cancer. It protects the kidneys from harmful effects of the chemotherapy medicine cisplatin in patients that receive this medication for the treatment of ovarian cancer. It is given as an injection by a doctor or nurse and should not be self-administered.

Side effects of Amifostine

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Chemophos

  • Nausea
  • Vomiting
  • Decreased blood pressure
  • Hiccup
  • Sleepiness
  • Dizziness
  • Flushing (sense of warmth in the face, ears, neck and trunk)
  • Fever
  • Chills

How to use Amifostine

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Amifostine works

Amifostine works by removing free radical, harmful elements produced by cisplatin (a medicine used to treat cancer) or radiation therapy in tissues.

Quick tips

  • Amifostine is given as an infusion into the vein ( IV infusion) under the supervision of a doctor only.
  • It is advisable to stay hydrated or drink plenty of fluids before taking medicine.
  • You will be monitored for blood pressure before and after every 5 minutes of infusion.
  • It may cause a decrease in calcium levels. Your doctor may monitor your calcium levels regularly and prescribe supplements if needed.

Safety Advice

sdsPregnancyCONSULT YOUR DOCTOR

Can I take Amifostine if I’m pregnant?

Amifostine may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

sdsBreastfeedingSAFE IF PRESCRIBED

Can I take Amifostine if I’m breastfeeding?

Amifostine is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

sdsAlcoholCONSULT YOUR DOCTOR

Is drinking alcohol while taking Amifostine safe?

It is not known whether it is safe to consume alcohol with Amifostine. Please consult your doctor.

sdsDrivingCONSULT YOUR DOCTOR

Can I drive after taking Amifostine?

It is not known whether Amifostine alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

sdsKidneySAFE IF PRESCRIBED

Can I take Amifostine if I have/had kidney diseases?

Amifostine is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Amifostine may not be needed in these patients. Please consult your doctor.

sdsLiverCONSULT YOUR DOCTOR

Can I take Amifostine if I have/had liver diseases?

There is limited information available on the use of Amifostine in patients with liver disease. Please consult your doctor.

Frequently Asked Questions

Q. Is Amifostine FDA approved?

Yes, it is FDA an approved drug

Q. What is Amifostine used for?

Amifostine is used to reduce toxicity to kidneys associated with cisplatin therapy in patients with advanced ovarian cancer, and in prevention of dry mouth (xerostomia) during radiotherapy for head and neck cancer

Q. How does Amifostine work?

It protects the normal cells against the harmful effects of chemotherapy medications and radiation treatment by producing a chemical ‘thiol' that binds to and detoxifies the harmful compounds produced by cisplatin. Amifostine does not interfere with the action of cisplatin.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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